Many people can’t tell the difference between long-acting, short-acting and emergency, thinking that as long as the pill is harmful to the body. But in fact, the short-acting pill is a conventional contraceptive recommended by gynecologists, because its dose is small and the body can metabolize it quickly, especially by the fourth generation not only does not affect health, but also is beneficial to women’s health. If you have lived abroad or often watched American TV shows, you know that European and American women take the short-acting pill as their first choice for birth control. Brief description of pharmacology: Short-acting oral contraceptives are a combination of estrogen and progestin, which can achieve the purpose of contraception by inhibiting ovulation, changing the environment of the endometrium, changing the properties of cervical mucus, preventing sperm from penetrating and resisting implantation, thus achieving nearly 100% efficient contraception. Moreover, numerous clinical studies have shown that the new short-acting oral contraceptive pill does not increase the risk of gynecological cancers such as breast cancer, but rather reduces the risk of cervical cancer and endometrial cancer. In addition, as a reversible form of contraception, the pill does not affect the user’s ability to conceive or have children in the future. Given that many people do not understand the use of short-acting pills, here are a few more words: The common short-acting pills on the market today are 21-piece pills, which are taken on the first day of the menstrual cycle (i.e., the first day of bleeding), one pill per day for 21 days (in the order indicated on the package), then stopped for 7 days, followed by the next box. In the first 7 days of taking the pill is best to add the barrier method of contraception (recommended TT, avoid unreliable safety period and external S), after each day is a “safe period” ~ brands of short-acting contraceptives: 1, Ma Fu Long (deoxyprogesterone ethinyl estradiol tablets) market price: 23 yuan package specifications: deoxyprogesterone 0.15mg / ethinyl estradiol 0.03mg * 21 tablets Properties: white tablets Usage: the first day of the menstrual cycle (i.e. the first day of bleeding) to start the first tablet, one tablet per day for 21 days, stop for 7 days, and then take the next box. Uniqueness: the longest clinically used contraceptive Reason: Mafulong belongs to the third generation of short-acting oral contraceptives, listed for many years, probably because the composition has not been changed, so the price has not gone up much, the biggest advantage is that it is cheap and easy to accept for wage earners. Possible problems: The most common is the swelling caused by water and sodium retention, which is what we usually call fatness. This is a common problem with third-generation oral contraceptives, and the swelling will generally go down after stopping the pill. In addition, because dexproterenol contains weak androgenic activity, the androgenic activity of dexproterenol has been significantly reduced compared to the second generation of previous birth control pills, but it still exists. Some people with sensitive constitutions taking birth control pills containing deoxyprogesterone may get acne, this also varies from person to person. Rating: ★★★★ ☆ 2, Ursine (drospirenone ethinyl estradiol tablets) Market price: 138 yuan Package specifications: drospirenone 3mg/ethinyl estradiol 0.03mg * 21 tablets Properties: white tablets Usage: the first day of the menstrual cycle (i.e., the first day of bleeding) start the first piece, one a day for 21 days, stop taking the drug for 7 days, and then take the next box. Uniqueness: currently the only oral contraceptive that can control weight (body-controlled contraceptive) Reason: the fourth generation of short-acting oral contraceptives, although it has not been in China for a long time, but in the world is the first in sales of similar drugs. I have met several customers who said that they started to eat Ursine when it was not yet available on the mainland, mainly by buying it in Hong Kong. The biggest benefit is the unique progestin ingredient drospirenone, the progestin closest to human progesterone, which can control water retention, control weight, improve premenstrual discomfort, and is also good for the skin. Possible problems: The price is relatively high and some customers may feel that it is beyond their acceptance range. Of course there is a demand for quality of life, it is necessary to pay a certain amount. In addition, some customers reflect that there will be slight spotting and bleeding at the beginning of use, which is a normal physiological reaction in the process of hormone regulation. When the human body hormone level is regulated to a better state after using for a period of time, the reaction will naturally disappear. Rating: ★★★★★ 3.Daing-35 (Ethinylestradiol Cyproterone Tablets) Market Price: 69 yuan Package Specification: Cyproterone acetate 2mg/ethinylestradiol 0.035mg*21 tablets Property: Light yellow coated tablets, white or off-white after removing the coating Usage: Start the first tablet on the first day of the menstrual cycle (i.e. the first day of bleeding), take one tablet a day for 21 days, stop taking it for 7 days, and then then take the next box. Unique: the only oral contraceptive on the market with indications for the treatment of acne Reason: Taiwan’s fashion forums often have MM mentioned a contraceptive pill called Diane 35 can remove acne, in fact, it is Daying 35. progestin of Daying is cyproterone acetate, which has strong anti-androgenic activity, so, in fact, in clinical practice, doctors mainly apply it to the treatment of acne, Kaohsiung symptoms such as polycystic ovary syndrome. It is also quite effective in the treatment of gongbao (abnormal bleeding). Possible problems: It is mainly used for the treatment of polycystic ovary syndrome, acne, gynecological symptoms and gynecological diseases such as gynecomastia, so many people do not know that it is also a contraceptive pill, but the effect of contraception is actually the same as other contraceptive pill brands. Rating: ★★★★ ☆ 4, Mecinlab (deoxyprogesterone ethinyl estradiol tablets) Market price: 68 yuan Package specifications: deoxyprogesterone 0.15mg/ethinyl estradiol 0.02mg * 21 tablets Properties: white tablets Usage: the first day of the menstrual cycle (i.e., the first day of bleeding) start the first piece, one piece per day for 21 days, stop for 7 days, and then take the next box. Unique: the lowest estrogen short-acting oral contraceptive on the market at present Reason: low estrogen content, nausea, vomiting and other symptoms of early pregnancy reaction caused by taking the pill will be less, if taking other contraceptives nausea and vomiting phenomenon is serious MM, you can change the Meclizine try. The difference lies in the estrogen content, which is one-third lower than that of Mafolone. By the way, Mecinlab has actually been on the market for a long time, but last year the new packaging was changed and the manufacturer has also stepped up its promotion efforts. Possible problems: Because it has the same progesterone as Mafulon (refer to the possible problems with Mafulon above), so MM who have oily skin and are afraid of acne may want to pay special attention when choosing it. Rating: ★★★★☆ 5, yutin (levonorgestrel tablets) Market price: 12.9 yuan Package specification: levonorgestrel 0.75mg * 2 tablets Properties: white tablets Usage: in unprotected sex or contraceptive failure within 72 hours, the earlier you take the drug, the better the effect of pregnancy prevention, a single oral 2 tablets; or first take 1 tablet, 12 hours between taking the second tablet. Evaluation: When taken correctly, the effectiveness of contraception is 85%. However, the emergency contraceptive pill, as we all know, has a lot of side effects if taken too much. Therefore, it is recommended to take it no more than 3 times a year and no more than 1 time a month. Not suitable as a conventional contraceptive ~ Rating: ★★★★★☆☆ 6, Paulistin (levonorgestrel tablets) Market price: 19.8 yuan Package specification: levonorgestrel 0.75mg * 2 tablets Property: white tablets Usage: in unprotected sex or contraceptive failure within 72 hours, the earlier you take the drug, the better the effect of pregnancy prevention, single oral 2 tablets; or first take 1 tablet, 12 hours between taking the second tablet. Evaluation: composition, pharmacology as above, contraceptive pill effectiveness of about 85%, not recommended to take more than 3 times a year, no more than 1 time a month ~ Rating: ★★★★★☆☆ 7, Antin (levonorgestrel tablets) three specifications Market price: specification 1 – 22.9 yuan / specification 2-22.8 yuan / specification – 12.5 yuan Package specification: Specification 1 – levonorgestrel 1.5mg*1 tablet / Specification 2 – levonorgestrel 0.75mg*4 tablets / Specification 3 – levonorgestrel 0.75mg*2 tablets Properties: white tablet Usage: Specification 1 – in Within 72 hours of unprotected sexual intercourse or contraceptive failure, the earlier you take the drug, the better the effect of preventing pregnancy, single oral dose of 1 tablet; Specification 2/3 – Within 72 hours of unprotected sexual intercourse or contraceptive failure, the earlier you take the drug, the better the effect of preventing pregnancy, single oral dose of 2 tablets; or take 1 tablet for the first time and take the second tablet at an interval of 12 hours. Evaluation: Well, in fact, the pharmacology of these are the same as the same as the same. As an objective inventory, the brand is not good, if necessary, you can consult professionals or people who have used it around themselves. But no matter which brand, can not be used as a conventional contraceptive method ~ Rating: ★★★★☆☆ 8, gold Yutin (levonorgestrel tablets) Market price: 22.8 yuan Package specifications: levonorgestrel 1.5mg * 1 tablet Properties: white tablets Usage: in unprotected sex or contraceptive failure within 72 hours, the earlier you take the drug, the better the effect of pregnancy prevention, a single oral 1 tablet. Evaluation: In fact, it is a simplified version of Yutin, the dose is doubled, take 1 time to get it done. Similarly, the effectiveness of the pill is about 85%, and not recommended to take more than 3 times a year, no more than 1 time a month ~ Rating: ★★★★☆☆ 9, levonorgestrel enteral capsules Market price: 26 yuan Package specifications: levonorgestrel 1.5mg * 1 capsule Properties: enteral capsules, the contents of white granules Usage: the earlier you take the drug in unprotected sex or within 72 hours of contraceptive failure, the better the prevention of The earlier you take it, the better the effect on pregnancy prevention. If vomiting occurs within 2 hours of taking the pill, take one additional pill immediately. Evaluation: The ingredients of this medicine and Yutin are actually the same, both are levonorgestrel, the difference is that Yutin is gastric soluble, this is enteric soluble. Therefore, like Yuktin, it is recommended to take it no more than 3 times a year and no more than 1 time a month. Not suitable as a conventional contraceptive ~ Rating: ★★★★☆☆ 10, Dan Mei (levonorgestrel enteric soluble tablets) Market price: 23.9 yuan Package specifications: levonorgestrel 1.5mg * 1 capsule Properties: enteric soluble capsules, the contents of white granules Usage: in unprotected sex or contraceptive failure within 72 hours, the earlier you take the drug, the better the effect of pregnancy prevention, a single oral 1 capsule. If vomiting occurs within 2 hours of taking the drug, 1 additional capsule should be taken immediately. Evaluation: Both are levonorgestrel enteric tablets, basically the same as above, recommended to be taken no more than 3 times a year and no more than 1 time a month. Not suitable as a conventional contraceptive ~ Rating: ★★★★★☆☆ 11, after Tingnuo (mifepristone tablets) Market price: 13.8 yuan Package specification: mifepristone 25mg * 1 tablet Property: slightly yellow tablets Usage: ① for emergency contraception: within 72 hours of unprotected sex or contraceptive failure, take 25mg (1 tablet) orally on an empty stomach or after 2 hours of eating, fasting 1-2 hours after taking. ②For termination of early pregnancy: For healthy women with early pregnancy ≤ 49 days after menopause, take 25-50mg mifepristone tablets orally twice a day for 2-3 days after fasting or eating for 2 hours, total 150mg, fasting for 2 hours after each dose, and place one carboprost suppository (1mg) in the morning of the 3rd-4th day in the posterior vaginal fornix, or use other similar prostaglandin drugs. Bed rest for 1 to 2 hours and outpatient observation for 6 hours. Watch for bleeding after administration, any pregnancy products and side effects. Evaluation: The composition of Postdinol is different from the above emergency contraceptive pills in that it is composed of the anti-progestin mifepristone. Taking different doses of mifepristone will achieve different results: usually, 10 to 25 mg of mifepristone per dose can be used for emergency contraception; taking 150 mg can terminate a pregnancy within 49 days (see what I mean? It’s actually a medical abortion!!!) It can only be used once during a menstrual cycle, the second time it doesn’t work. If the pill fails, it is recommended to terminate the pregnancy. In short, the emergency contraceptive pill is not suitable for multiple doses, remember that mending is never the best policy ~ Rating: ★★★★☆☆ Summary to here have to say one more thing, the emergency contraceptive pill brand so many, what does it mean? It means that the market is very large, that many people are not clear about the side effects of these drugs, and even some people are still taking the emergency contraceptive pill as a regular contraceptive method. For the sake of their health, girls must learn more about contraception, the sooner the better.